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NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
T
Set Back
33
Ventilation System
2
Figs & Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl Clearance
-
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P.L
43 Final
oo ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
10A
Fireplace T.O.
11
Exterior Lath
12
Internal Lath
12A
Drywall
13
Finish Grade
INSULATION
Thick
R
Value
7A
Walls (Batts)
12B
Ceiling (Batts)
12C
Ceiling (Blown)
14
Final
PLUMBING APPROVALS
15
Ground Plumb
16
Water Piping
17
Rough Plumb
18
Vents
19
Sewage Disposal
20
Sewer
21
Water Heater
22
Water Softener
23
Water Service
24
Gas Test
25
Final
Tank Pit L Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
26
Power Pole
27
Conduit
28
Service Entrance
29
Wiring
29A
Grounding Wire
29B
Bonding
30
Fixtures
31
Service
32
Final
1
STREE
NOT:CE: THIS 15 NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
&5�A,chitect__ Contractor
wne
Address Address Address- 85 -
City �__ity City -
Phone Phon Phone—
I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and
z Paying, andlor Dedication of right of way is required by the County of Riverside, the Riverside County Department of Building and Safety
3: shall not make a Final Inspection until said requirements have been met. I am also aware that no work is to be done within the County R/W
0 without an encroachment permit.
NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause said property to be occupied until I (we) have
complied with all laws of the County of Riverside and the State of California governing said property. C)
DATE c, 7-,-L— — SIGNATURE OF OWNER AND/OR AGENT i &""Vu�MCIZC5_�
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
1 SPACE NO.
USE OF STRUCTURE
JOB ADDRESS �INGLE FAMILY^J�;J-' DUPLEX
LEGAL DESCRIPTION OF PROPERTY 6 o
z t- APARTMENTS E] AGRIC. E]
0
U, ------ kzz COMMERCIAL E] INDUSTRIAL El
5 C OM M U N I T Y
F, 1/1 d LTERATIONS
NO. OF SUBMITTED PLANL USE OF PERMIT
Lu
4A CASE NO.
N 0. 0 FP
_#RKING SPACES REQUIRED F BUILDINGS NOW EXISY/NG
z Q
ZONO��_2— SETBA6KS: FRONT —SIDE REAR
GRADING PERMIT REQUIRED? YES 0 NO 0 LOT SIZE
SETBACK ORDINANCE # 0 F_ FEET REQUIRED ON STREET
DAT SIGNATURE OF LAND USE OFFICIXA
z
Lu
0
Ix
x
jL
ki
Lu 10
x
0
DEDICATION REQUIRED: YES [3 NO Ll NO. OF FEET
CURB AND GUTTER REQUIRED: YES El NO [I
ET
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES El NO 0
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROVEMENT? YES El NO El
DATE SIGNATURE OF ROAD DEPT. OFFICIAI
SWIMMING POOLS PUBLIC
SEWAGE DISPOSAL
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
FLOOD CONTR L___
AIR POLLUTION
A') YOUR PROPERTY MAY BE SUBJECT TO
FLOOD. RIVERSIDE COUNTY ASSUMES
,<M A,
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 .199A 9/74 CANARY—FILE, PINK—APPLICAN